| NPI | 1922023340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301078486) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078486) | 
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2012-02-28 |